SSK Little Dragon (LD) Application form

 Parents. come along and train.. get fit and learn the skills to benefit you and your child !
(Parents who assisst at LD classes can get discounts and we’ll put your through appropriate Safeguarding and coaching courses)

Teaching Team:
Sifu David Nicholls MSc (Sports & Exercise Science) 6th Degree Black Belt
Sifu  & CPO  Nic Cumming 3rd  Degree Black Belt (Child Protection Officer)
Sifu Jane Anderson  2nd Degree Black Belt
Sifu Emmanuel Nnatuanya 1st Degree Black Belt
Sifu Adam Hawkins  1st Degree Black Belt
Graham Hawkins  Brown Belt
Wales:
Sifu Matt Bithel     1st Degree Black Belt
Sifu Leah Roberts 1st Degree Black Belt
Jo Hinchliffe Brown Belt

Please complete SSK membership form and make payment
(for membership and cover to commence) :-

 Membership cover is based on continuous payment  (classes run all year, excluding 2 weeks Christmas holidays and during competitions – which children can enter).

 

Membership Application Form

Membership Application Form

NOTE: If you need to go back, use the 'Back' button at the bottom of the form. NOT 'refresh' or the back arrow on your browser!
(Using '<-' back arrow, may cause the form to add charges when you revisit next section of the form)

‎ Application Type

Please select the correct application type below

‎ Parent's Details

Note: fields marked with a red * are required
First Name
Surname
Parent Gender
 

 

Address Line 1
Address Line 2 (Optional)
Town (Optional)
Country
Post Code

‎ Member 1's Details

Note: fields marked with a red * are required
First Name
Surname
1. Gender
 

 

Address Line 1
Address Line 2 (Optional)
Town (Optional)
Country
Post Code

‎ Training and Membership Options

(If you are only attending 1 class DON'T select it again on extra classes!)
1. Select any extra classes you want to attend
Add an extra person to your membership

‎ Member 2

First Name
Surname
2. Gender
2. Extra classes

‎ Member 3

First Name
Surname
3. Gender
3. Extra classes

‎ Member 4

First Name
Surname
4. Gender
4. Extra classes

‎ Payment Methods (Standing Order & Internet Banking)

NOTE: Selecting the RECURRING PAYMENT option using Standing Order or Internet Banking. (Lapsed members will be charged a £10 admin fee to rejoin)
After clicking on submit you will receive an automatic email containing SO/BACS Banking details
After clicking on submit you will receive an automatic email containing SO/BACS Banking details

‎ Additional Information

(Members may get discounts for introducing people)
Help us to understand your goals
Name & Relationship e.g. wife, husband, brother, friend
Photograph Permission
Occasionally our instructors take photographs during classes for our website, social media pages (eg Facebook) or posters. Please tick this box if you/your child does not wish to appear in these photographs. (Children’s full names are not included with photographs, unless they won an award – we would contact you, if that occurs)
 

 

 

 

 

 

 

*On 1 December 2012 the work of the Criminal Records
Bureau (CRB) was merged with the Independent Safeguarding Authority (ISA) to form the Disclosure and Barring Service (DBS).
From 1 December ‘CRB checks’ will be known as ‘DBS checks’.

 

 

 

Little Dragons Application Form

Get In Touch

membership@sanshoukuan.com

Location

C/O Tokei Centre,
Magdalen Street,
London Bridge,
SE1 2EN

Phone

07446 037 467
07968 282 085

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